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Individual
DR. JUAN CARLOS VELOSA
Active
Individual
DR. JUAN CARLOS VELOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51311
PROFESSIONAL LICENSE
CA
01
—
D3561015
CAL. DRIVER LIC
CA
Enumeration date
05/09/2007
Last updated
03/07/2023
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